NHS Deficits
NHS Deficits

Author: Great Britain: Parliament: House of Commons: Health Committee

Publisher: The Stationery Office

Published: 2006-07-03

Total Pages: 204

ISBN-13: 9780215029577

DOWNLOAD EBOOK

NHS Deficits : Sixth report of session 2005-06, Vol. 2: Written Evidence

Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry
Report of the Mid Staffordshire NHS Foundation Trust Public Inquiry

Author: Mid Staffordshire NHS Foundation Trust Public Inquiry

Publisher: The Stationery Office

Published: 2013-02-06

Total Pages: 126

ISBN-13: 9780102981476

DOWNLOAD EBOOK

This public inquiry report into serious failings in healthcare that took place at the Mid Staffordshire NHS Foundation Trust builds on the first independent report published in February 2010 (ISBN 9780102964394). It further examines the suffering of patients caused by failures by the Trust: there was a failure to listen to its patients and staff or ensure correction of deficiencies. There was also a failure to tackle the insidious negative culture involving poor standards and a disengagement from managerial and leadership responsibilities. These failures are in part a consequence of allowing a focus on reaching national access targets, achieving financial balance and seeking foundation trust status at the cost of delivering acceptable care standards. Further, the checks and balances that operate within the NHS system should have prevented the serious systemic failure that developed at Mid Staffs. The system failed in its primary duty to protect patients and maintain confidence in the healthcare system. This report identifies numerous warning signs that could and should have alerted the system to problems developing at the Trust. It also sets out 290 recommendations grouped around: (i) putting the patient first; (ii) developing a set of fundamental standards, easily understood and accepted by patients; (iii) providing professionally endorsed and evidence-based means of compliance of standards that are understood and adopted by staff; (iv) ensuring openness, transparency and candour throughout system; (v) policing of these standards by the healthcare regulator; (vi) making all those who provide care for patients , properly accountable; (vii) enhancing recruitment, education, training and support of all key contributors to the provision of healthcare; (viii) developing and sharing ever improving means of measuring and understanding the performance of individual professionals, teams, units and provider organisations for the patients, the public, and other stakeholders.

The Government's response to Health Select Committee's report on NHS deficits
The Government's response to Health Select Committee's report on NHS deficits

Author: Great Britain: Department of Health

Publisher: The Stationery Office

Published: 2007-02-20

Total Pages: 24

ISBN-13: 9780101702829

DOWNLOAD EBOOK

This is the Government's response to the Health Committee's report, (HCP 73-I, session 2006-07 - NHS Deficits - ISBN 9780215031747), which highlighted the role of: the funding formula; poor central management; and poor local management in the National Health Service as being the root cause of deficit problems, alongside large inherited debts. The Committee also notes that the reductions in workforce budget and training and education have been the main contribution to reducing deficits, and see that as having adverse effects on staff morale and development, and this could affect the quality of the workforce. The Government accepts that many of the recommendations resonate with the Department of Health's objectives on financial management in the NHS, and accepts that some of areas, as highlighted by the Committee, such as poor local management has contributed to the NHS deficit, also that higher standards in financial management is required, with the Department appointing a Financial Controller, who can challenge the financial performance of individual organisations. The NHS will receive an estimated funding of £84.4 billion in the 2006-07 period, and it is the Government's view this has led to a service transformation and improved patient care. The Government does not accept that ring-fencing budgets and micro-management of the NHS will produce better financial health. The Secretary of State for Health has set out three clear financial objectives, which is reported on a quarterly basis in the NHS finance reports: (i) deliver net financial balance across the NHS; (ii) see improvement in financial performance to all organizations reporting a deficit in 2005-06; (iii) achieve a recurrent monthly rate balance across as many NHS organizations as possible by 31st March 2007. The latest quarterly report is available on the Department of Health website: http://www.dh.gov.uk/assetRoot/04/14/31/57/04143157.pdf. Also for a related publication Explaining NHS Deficits, 2003/04 and 2005/06, see: http://www.dh.gov.uk/assetRoot/04/14/31/58/04143158.pdf.

Report on the NHS summarised accounts 2006-07
Report on the NHS summarised accounts 2006-07

Author: Great Britain: National Audit Office

Publisher: The Stationery Office

Published: 2007-12-11

Total Pages: 50

ISBN-13: 9780102951653

DOWNLOAD EBOOK

In the last financial year the Department of Health made financial recovery priority and managed to turn the deficits of 2005-06 to a surplus of £505 million in 2006-07. The Comptroller and Auditor General is the statutory auditor of the financial accounts of the NHS and has the duty to certify and report to Parliament on them. This report is published alongside in the NHS Summarised Accounts to provide more detail on the financial performance of the NHS, how it moved into balance and the challenges that face it in the future.

NHS Deficits
NHS Deficits

Author: Great Britain. Parliament. House of Commons. Health Committee

Publisher: Stationery Office/Tso

Published: 2006-12-13

Total Pages: 95

ISBN-13: 9780215031747

DOWNLOAD EBOOK

The NHS has been in overall defict for the last two years, and there has been an increase in the number of NHS organisations with a deficit. This report highlights the role of: the funding formula; poor central management; and poor local management. Some of the worst deficits can be explained by exceptionally difficult circumstances such as large inherited debts. The funding formula allocates considerably more money per head to some Primary Care Trusts (PCTs) than others. This may be related to the scale of health inequalities but it can make financial balance harder to achieve. Poor central management has included the Government's unrealistic estimates of the costs of the Agenda for Change and the new GP and consultant contracts. Some targets have also been expensive to meet. At the local level, there is much evidence of poor financial management, exacerbated by Government repeated policy changes and emphasis on meeting targets at short notice. Whilst overall the NHS is expected to be in surplus by the end of March 2007, many recovery plans that have been put in place by trusts in debt are unsatisfactory, and it is unlikely that the trusts with the biggest deficits will be able to repay their accumulated debts within five years. The Committee also notes that the reductions in workforce budget and training and education have been the main contribution to reducing deficits, and see that as having adverse effects on staff morale and development, and this could affect the quality of the workforce. The report draws a number of lessons relating to the accounting regime, financial management in local NHS organisations, and the Department of Health.

NHS Deficits
NHS Deficits

Author: Great Britain. Parliament. House of Commons. Health Committee

Publisher:

Published: 2006

Total Pages:

ISBN-13:

DOWNLOAD EBOOK

NHS Finances 2006/7
NHS Finances 2006/7

Author:

Publisher:

Published: 2007

Total Pages: 11

ISBN-13:

DOWNLOAD EBOOK

The NHS has moved from an overall net deficit to a net surplus within a year, according to the figures released by the government in June 2007, reversing a three-year trend towards increasingly large gross deficits. This new briefing analyses the latest figures and data extracted from NHS trust board papers, to assess the scale of the challenges to the financial security of the NHS in the future.